Provider Demographics
NPI:1205681376
Name:CHANG, CHIU-LUN (MD)
Entity type:Individual
Prefix:MR
First Name:CHIU-LUN
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:201 E. UNIVERSITY PARKWAY
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2284
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:201 E. UNIVERSITY PARKWAY
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2284
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2025-08-12
Deactivation Date:2024-12-19
Deactivation Code:
Reactivation Date:2025-08-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program